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supplies and needs...online!

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Receive Your Diabetic Supplies
At Little Or No Cost To You...

Receive a blood glucose meter with no out of pocket cost to you.*   -   FREE DELIVERY NATIONWIDE

  • No more running around town for the product you need.
  • No more last minute trips to the pharmacy.
  • Say goodbye to standing and waiting in line- get your diabetic supplies online.

*Offer valid with your first filled order of test strips and lancets.

We accept Medi-Cal Programs, Managed Care, HMOs, PPOs, and most health plans. Mini Pharmacy will file most health plan claims for you, as well as any other paperwork that is required.

Just fill out the simple form below and we'll take care of the rest!

* Means fields are required. If you are unsure of an entry, please just write NA.

* Patient Name:

* DOB:

* Address:

* City:

* State:

* Zip:

* E-mail:

* Daytime Phone:

* Insurance Plan:

* Insurance ID#:

* Insurance Phone:

* Doctor's Name:

* Doctor's Phone:


Please select the kit you would like to receive at no cost with your first order of strips and lancets.

Abbott

Diabetic Supplies Online Company MiniPharmacy Abbott Precision Xtra
Precision Xtra

Diabetic Supplies Online Company MiniPharmacy Abbott FreeStyle Lite
FreeStyle Lite

Diabetic Supplies Online Company MiniPharmacy Abbott FreeStyle Freedom
FreeStyle Freedom

Bayer

Diabetic Supplies Online Company MiniPharmacy Bayer Breeze 2
Breeze 2

Bayer Contour TS From Diabetic Supplies Online Company MiniPharmacy
Bayer Contour TS

Bayer DEX From Diabetic Supplies Online Company MiniPharmacy
DEX

LifeScan

LifeScan OneTouch UltraSmart From Diabetic Supplies Online Company MiniPharmacy
OneTouch UltraSmart

OneTouch Ultra Mini- Diabetic Supplies Online photo
OneTouch Ultra Mini

Online Diabetic Supplies- LifeScan OneTouch Ultra 2
OneTouch Ultra2

Diabetic Testing Supplies- LifeScan OneTouch Ultra
OneTouch Ultra

Diabetic Supplies- LifeScan OneTouch Select
OneTouch Select

 

Roche

Roche Accu-Check Advantage From Diabetic Supplies Online Company MiniPharmacy
Accu-Check Advantage

Roche Accu-Check Compact Plus- Online Diabetic Supplies
Accu-Check Compact Plus

Roche Accu-Check Active- Online Diabetic Testing Supplies
Accu-Check Active

Roche Accu-Check Aviva- Testing Supplies For Diabetics
Accu-Check Aviva

 

 

Sanvita

Sanvita NovaMax- Testing Supplies Online
NovaMax

Diabetic Testing Supplies- Sanvita NovaMax Link
NovaMax Link

 

Supplies Needed:

Test Strips (100 per box) - Qty:
Lancets (100 per box) - Qty:
Syringes 1cc - Qty:
Syringes 1/2 cc - Qty:

Insulin:

Insulin NPH - # of Vials:
Insulin REG - # of Vials:
Insulin 70/30 - # of Vials:

Comments:
  
   
       

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